Wovulala calcaneus ndi

peresenti atatu a milandu onse fractures mafupa zosiyanasiyana za mafupa a wovulala calcaneus lapansi. Firii kotala ya milandu ndi kuwononga ichi kwapakati pa-articular.

Articular wovulala ndi calcaneus fupa si bwanji subtalar olowa. kuwonongeka Intraarticular m'gulu malinga ndi mtundu ndi digiri ya monyanyira mu subtalar olowa.

Wovulala chidendene fupa amapezeka mu nkhani ya kugwa pa zidendene, ndi talus amang'amba calcaneus, tikafika mu izo.

Mchitidwe zoopsa mitundu yambiri ya kuwonongeka. The wovulala akhoza olekanitsidwa kapena owonjezera palinso wovulala fupa chidendene ndi kusamutsidwa kapena popanda izo. Malinga ndi kutalika kwa amene wodwala anagwa, adagawa unagawanika (comminuted) ndi osavuta kuwonongeka. Malinga ndi malo a phazi pa amadza wovulala khalidwe mzere wapatsidwa komanso kusamutsidwa makombo fupa. Kuyambitsa psinjika kuwonongeka psinjika. Monga ulamuliro, kugwa amachititsa wovulala wa calcaneus pa miyendo.

Zizindikiro khalidwe la kuwonongeka ndi ululu. Iwo amatchuka kukula kwa malo chidendene ndi flattening wa Chipilala phazi. Lakutali kapena mmphepete fractures ali limodzi ndi zizindikiro zochepa kwambiri, choncho anthu ndi kuvulala amenewa amatha kuyenda. Akuti aakulu psinjika zoopsa. Choncho pali psinjika za calcaneus pakati zoopsa pamwamba ndi talus, zomwe zimabweretsa kugawanika ake. Pa nthawi yomweyo pali flattening wa Chipilala phazi, malingana ndi mphamvu psinjika zingaoneke ndipo sanamwe.

Kupeza Vuto wovulala ikuchitika ntchito X-ray.

Chithandizo cha kuvulala mu dera chidendene, pakalibe mavuto fupa displacements yopangidwa kuchokera ku gypsum anakuta ku malo bondo choipa. Malinga pati ndi chikhalidwe cha kuwonongeka kwa nthawi immobilization akhoza zosiyanasiyana, kuyambira masabata atatu atatu.

Ngati kugawikana ikuchitika kusamutsidwa Buku opareshoni (anatseka) ndi ntchito ya mankhwala ochititsa dzanzi. Opaleshoni alowererepo pa nkhani iyi ikukhudza kukanikiza ndi compressing makombo fupa pa mbali. Mtundu wa opaleshoni amatchedwa repositioning. Ngati khalidwe la mtundu wa alowererepo sizingatheke ntchito njira yotseguka kusokoneza ndi fixation ndi zomangira.

fractures psinjika zagonjetsedwa kwa samatha chigoba. Chifukwa cha flattening, kufupikitsa ndi kutambasuka kwa phazi, pulasitala umagwiritsidwa ntchito pa ntchito ya mawerengeredwe gulu. miyezi khumi akupitiriza nthawi immobilization. Pambuyo kuchotsa pulasitala kwa miyezi itatu kapena inayi katundu phazi awerenge (ntchito ndodo). Kenako, kupereka mankhwala ndi kulengeza ntchito nsapato mafupa.

Wovulala calcaneus lapansi. Konzanso.

Kutalika kwa nthawi ayambe makamaka zimadalira mtundu wa kuwonongeka.

Nthawi zina, njira konzanso lidzayamba pambuyo masabata angapo pambuyo pakutchulidwa zoipa. Nthawi zina, nthawi kuchira amayamba okha itapita miyezi itatu kapena kuposerapo.

Konzanso Inde kumaphatikizapo osiyanasiyana ntchito. Makamaka, akatswiri amalangiza kuti ayambe kugwira magalimoto phazi chifukwa sadzakhalanso chifukwa kupweteka kwambiri. Patapita nthawi kuyendera thupi anapatsidwa. Katswiri umabala ziyang'aniridwe zolimbitsa thupi pofuna kupewa kuwonongeka mobwerezabwereza.

Pambuyo kuvulazidwa m'mapapo osakondera chikhalidwe cha mtundu wa mtima zambiri umabwerera kwa mungoli zimachitika pa moyo mu miyezi itatu kapena inayi. Ngati fractures amphamvu, nthawi kuchira mwina zaka imodzi kapena ziwiri.